Why do people get haemorrhoids?

Many factors may cause haemorrhoids to enlarge and the exact reason is not always obvious for every patient. However, there is no doubt that the following may increase the risk of haemorrhoidal disease:

  • Straining during bowel movements or very hard stool
  • Pregnancy
  • Weakening of the tissue in old age
  • An unhealthy lifestyle (lack of exercise, bad eating habits, alcohol, etc.)

Four different grades

The natural haemorrhoidal anal cushions are normally held safely in place in the sphincter region by muscles and tissue. However if this system of securing them is damaged for any reason, these cushions may slide downwards  and prevent the outflow of blood. This leads to an abnormal swelling and displacement of the cushions, which are classified into four grades depending on their size and severity:


Grade I: Slightly enlarged haemorrhoidal cushions.

Grade II: Enlarged cushions which protrude with pressing but retract again themselves.

Grade III: Much larger haemorrhoidal cushions which require manual repositioning in the anal canal.

Grade IV: Extremely large cushions with permanent protrusion.

What are the symptoms?

Sufferers may experience symptoms such as bleeding, itching or discharge, together with dull pain or a foreign-body sensation in the anus.

What should I do?

Haemorrhoidal disease is very widespread, and there is no need for sufferers to be embarrassed or fearful. The earlier you seek advice and a thorough diagnosis, the better the chances are that symptoms can be cured with minimal discomfort. So consult your doctor now and ask about HAL-RAR – the virtually pain-free method for handling haemorrhoids.